Before Proceeding to the Nizoral  Medical Consultation Form please read
CONTRAINDICATIONS and WARNINGS
and accept the Waiver of Liability
In order for Medical Wellness Center Physicians to provide you with the best care you need to reply honesty to all questions and you need to understand any and all risks and side effects associated with Prescription strength Nizoral.
CONTRAINDICATIONS:
  • Do NOT use Nizoral if you are under age 18.
  • Nizoral shampoo is for TOPICAL  EXTERNAL use only on the hair & scalp.  Do NOT take orally.
  • Do NOT use of you are pregnant or breast feeding as ketoconazole has been shown to cause birth defects in animals.
  • Do NOT use Nizoral if you have any scalp irritation such as red, inflamed, irritated, sunburned or painful scalp.
  • Do NOT use Nizoral if you have and skin diseases of the scalp such as psoriasis or eczema of the scalp.
  • Do NOT use Nizoral if you have any open wounds or lesions on the scalp.
  • Do NOT use Nizoral if you do NOT know the reason of your hair loss.
  • Do NOT use Nizoral if you are  experiencing a sudden hair loss.
  • Do NOT use Nizoral if you are experiencing hair loss due to nutritional problems, thyroid problems, chemotherapy, prescription medication, chemical treatments or hairstyle as it is not effective..
  • Male pattern hair loss in a women can be a sign of a severe life-threatening illness and even cancer. You must see your own physician.
  • Do NOT use Nizoral if you are allergic to ketoconazole, other anti-fungal medications, or miconazole..
  • Do NOT use Nizoral if you are allergic to any of the active or inactive ingredients: Active Ingredient - ketoconazole.  Inactive Ingredients: Sodium Laureth Sulfate, Disodium monolaureth sulphosuccinate, coconut fatty acid, Diethanolamide, Cocamide MEA, Sodium Cocoyl Sarcosinate, Glycol Distearate, Acrylic Acid Polyer (Carbomer 1342), Fragrance, Sodium Chloride, Tetrasodium EDTA, Butylated Hydroxytoluene, Quaternium-15, Polyquaternium-y, Sodium Hydroxide, Hydrochloric Acid, FD & C Blue No 1
If allergic reaction occurs  - seek immediate emergency medical attention  

NIZORAL PRECAUTIONS:

As with any shampoo, if any gets in your eyes, bathe them gently with cold water.
 


NIZORAL SIDE EFFECTS:

Side effects are rare and unlikely.  The most common side effects are itching , scalp irritations, burning sensation of the scalp, and dry or greasy hair. Occasionally hair discoloration has been reported.  This mainly occurs in patients with gray hair or hair that has been frequently treated with agents such as colors, bleaches, or perms.  Nizoral Shampoo should ONLY be applied to the hair  &  scalp. 

Do not get in eyes - if accidentally gets in eyes flush with water immediately and if irritation persists seek medical attention.

Stop using NIZORAL Shampoo and seek emergency medical attention if you experience an allergic reaction such as difficulty breathing, closing of the throat, swelling of the lips, tongue or face.
 
 

IMPORTANT INFORMATION:

Nizoral Shampoo is to be used topically only.  Nizoral Shampoo can be combined with systemic 5-alpha reductase inhibitors like Propecia or Avodart and Minoxidil.  There are no known interactions with topical ketoconazole and other medications when used as directed as a shampoo. 

NIZORAL SHAMPOO  PRESCRIBING INFORMATION:

Hair Loss:
Apply daily in place of your usual shampoo for 14 days and thereafter apply 1 - 2 times weekly.
Anti-Dandruff: 
Apply twice a week for 2 - 4 weeks, then use once every 1 - 2 weeks to prevent dandruff symptoms from returning.

I DO NOT HAVE ANY OF THE ABOVE CONTRAINDICATIONS:
By accepting "I Agree" means that you have read the above contraindication and warnings and honestly acknowledge that you do not have any of the above contraindications to Nizoral Shampoo therapy.
I agree, proceed to Waiver of LiabilityI disagree

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